OrganizationActive
Maryland Rehab and Pain Specialists,llc
NPI 1962788323 · Preferred Provider Organization · Ellicott City, MD
Provider details
- NPI number
- 1962788323
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Cathy Gao, President(410) 884-9293
- License
- D0057718 (MD)
Specialties & taxonomies
Managed Care Organizations
Practice location
5070 Dorsey Hall Dr
Suite 101
Ellicott City, MD 21042-7711
Phone: (410) 884-9293
Fax: (410) 884-6933
Approximate (ZIP-level) locationGet directions
Mailing address
5070 Dorsey Hall Dr
Ellicott City, MD 21042-7711
Registry dates
- Enumerated
- 2011-10-31
- Last updated
- 2013-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.